Influence of different tilt positions for laparoscopic hysterectomy on intraocular pressure and postoperative comfort of patients
10.3760/j.issn.1674-2907.2014.34.010
- VernacularTitle:不同倾斜度体位对腹腔镜全子宫切除患者眼内压和术后舒适度的影响
- Author:
Xiaofen LI
1
;
Lihua FAN
;
Wei HAN
;
Xiuhua YING
;
Hongfeng ZHENG
;
Bole WU
;
Qiaomin XU
;
Fengmei ZENG
;
Mengting AI
;
Huiqiao LIU
Author Information
1. 323000 浙江省丽水市人民医院手术室
- Keywords:
Head-down tilt;
Laparoscopes;
Hysteretomy;
Intraocular pressure;
Inclination;
Comfort
- From:
Chinese Journal of Modern Nursing
2014;20(34):4312-4314
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the influence of different tilt positions for laparoscopic hysterectomy on intraocular pressure and patients’ postoperative comfort.Methods Totals of 80 patients with laparoscopic surgery with grade-I anesthesia ( American Society of Anesthesiologists, ASA) were chosen and divided into group A(15°T) and group B (30°T) by using the random table methods, with 40 cases in each.Intraocular pressure of patients at baseline ( T0 ) , 30 minutes ( T1 ) and 60 minutes ( T2 ) of pneumoperitoneum and after changing the position, and 10 minutes after pneumoperitoneum were monitored.The follow-up of the patients was within 24 hours asking the comfort of them.Results The intraocular pressure of patients at T1 and T2 in group A were (18.16 ±2.16) and (19.60 ±2.18) mmHg, which were significantly lower than group B [(19.21 ± 2.17) and (20.87 ±2.17) mmHg] (t =2.168 9, 2.611 3, respectively;P <0.05).The incidences of postoperative ocular discomfort and back pain in group A were 2.5% and 7.5%, respectively, which were significantly lower than group B (20.0%, 25.0%) (χ2 =4.507 5, 4.500 6, respectively;P<0.05).The incidences of nausea, vomiting, and leg pain had no significant differences (χ2 =0.238 1, 0.000 0, respectively;P>0.05).Conclusions 15°head-down position laparoscopic surgery has less effect on the patient’ s intraocular pressure than 30°head-down position laparoscopic surgery, besides, patients have more comfort.
